National Health Law Program (NHeLP)

National Health Law Program (NHeLP) Securing Health Rights for Those in Need. Learn more at www.healthlaw.org.

Founded in 1969, the National Health Law Program protects and advances the health rights of low income and underserved individuals. The oldest non-profit of its kind, NHeLP advocates, educates and litigates at the federal and state level.

This fact sheet outlines two changes from the "One Big Beautiful Bill Act," that will impact people with disabilities’ a...
02/13/2026

This fact sheet outlines two changes from the "One Big Beautiful Bill Act," that will impact people with disabilities’ ability to access Long Term Services and Supports (LTSS): Home Equity Caps and Retroactive Eligibility limits. The fact sheet includes advocacy strategies to lessen the harm from these changes. By Elizabeth Zirker, Jennifer Lav, and Brit Vanneman https://healthlaw.org/resource/new-fixed-home-equity-caps-and-retroactive-coverage-limitations-will-limit-access-to-long-term-care/

OBBBA’s Medicaid eligibility & enrollment changes will create major red tape, raising the risk of wrongful coverage loss...
02/12/2026

OBBBA’s Medicaid eligibility & enrollment changes will create major red tape, raising the risk of wrongful coverage loss. By Shandra Hartly. Learn about how states can reduce harm via this week’s Timely Tip to Safeguard Medicaid: https://healthlaw.org/timely-tips-to-safeguard-medicaid/

NHeLP is seeking a full-time Policy Analyst for a three-year (36 months)  term. This is a project-based position. The Po...
02/12/2026

NHeLP is seeking a full-time Policy Analyst for a three-year (36 months) term. This is a project-based position. The Policy Analyst will work primarily with the California Policy Advocacy team but will also interact with members of NHeLP’s Federal Advocacy team and the entire organization. The individual will work with the NHeLP’s California Policy Advocacy team to minimize the harms of H.R. 1, or the so-called “One Big Beautiful Bill Act” (OBBBA) and ensure as many Californians as possible maintain access to Medi-Cal or other insurance affordability programs. The position will primarily include policy advocacy as well as collaboration and coordination between our policy advocacy teams and outside partners based in California. https://nationalhealthlawprogram.applytojob.com/apply/VeieYrUHvO/Health-Care-Project-Policy-Analyst?source=Our%20Career%20Page%20Widget

Advocates and state Medicaid agencies face a rapid implementation timeline for Medicaid work requirements established by...
02/09/2026

Advocates and state Medicaid agencies face a rapid implementation timeline for Medicaid work requirements established by the so-called One Big Beautiful Bill Act (OBBBA). For the Medicaid expansion group, this also includes more frequent eligibility redeterminations coupled with regular compliance checks, increasing administrative burden and risk of erroneous coverage loss. While there are many unknowns, in an attempt to mitigate harm, advocates can still create a plan to monitor implementation of work requirements over the next year. This document breaks down potential advocacy activities into 3-month time periods and hyperlinks to relevant resources that provide more details about the recommendations. By Katy DeBriere, Elizabeth Edwards, and Shandra Hartly https://healthlaw.org/resource/advocates-timeline-for-state-work-requirement-implementation/

Starting in tax year 2026, OBBBA eliminates the cap on advanced premium tax credit repayments, meaning that individuals ...
02/05/2026

Starting in tax year 2026, OBBBA eliminates the cap on advanced premium tax credit repayments, meaning that individuals may have to repay excess APTCs if their actual income exceeds their projected income. Learn more from our latest Timely Tip to Safeguard Medicaid: https://healthlaw.org/timely-tips-to-safeguard-medicaid/

NHeLP in the news! The Trump administration’s move to give ICE access to Medicaid data puts hospitals and states in an i...
02/05/2026

NHeLP in the news! The Trump administration’s move to give ICE access to Medicaid data puts hospitals and states in an impossible position, and immigrant patients at risk. With ICE now getting direct access to the personal information of millions of Medicaid enrollees, hospitals, while “definitely in a tough position”, should be up-front about the changes, said Sarah Grusin, an attorney at the National Health Law Program, an advocacy group. “They need to be telling people that the judge has permitted sharing of information, including their address, for people who are not lawfully residing,” she said. “Once this information is submitted, you can’t protect it from disclosure at this point.” https://www.cnn.com/2026/02/05/health/medicaid-data-ice-immigrants

California's Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) demonstra...
02/05/2026

California's Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) demonstration, approved in late 2024, seeks to help low-income individuals navigate an increasingly complex behavioral health system. The program is an important tool in the State’s fights against the mental health and substance misuse crises. The demonstration includes various initiatives that allow California to use federal Medicaid funding to test innovative programs in order to address ongoing issues with access to behavioral health care. This issue brief (the first of a 2-part series) summarizes the services available through the initiative’s main components and the current state of implementation. By Héctor Hernández-Delgado, Carly Myers https://healthlaw.org/resource/advocates-guide-to-the-bh-connect-initiative-services/

NHeLP supports and advocates for full spectrum doula care, which we define as doula care for all the ways in which a pre...
02/04/2026

NHeLP supports and advocates for full spectrum doula care, which we define as doula care for all the ways in which a pregnancy can end, including doula care for prenatal, labor/delivery, and the postpartum period, as well as doula care for abortion, miscarriage, and stillbirth. https://healthlaw.org/doulamedicaidproject/

We are excited to share our interactive map depicting current state efforts at expanding Medicaid coverage of doula care...
02/04/2026

We are excited to share our interactive map depicting current state efforts at expanding Medicaid coverage of doula care. We hope this map is a more visually appealing and user-friendly way for doulas, advocates, researchers, legislators, and other stakeholders to track and compare state efforts across the country. This map tracks in real time the information on our state efforts chart, which we have been maintaining consistently since 2021. Note that our state efforts chart will also continue to be updated for those who prefer to view the information in that format. https://healthlaw.org/doulamedicaidproject/map/

On January 31, Open Enrollment on the Affordable Care Act (ACA) Marketplaces officially ended in every state. This marks...
02/04/2026

On January 31, Open Enrollment on the Affordable Care Act (ACA) Marketplaces officially ended in every state. This marks yet another milestone without federal action to address a health care affordability crisis that went into overdrive at the start of the year. Because Congress did not prevent enhanced premium tax credits (ePTCs) from expiring on December 31, average out-of-pocket monthly premiums for households with ACA coverage will more than double this year. As anticipated in an earlier blog, monthly costs are spiking even more dramatically for older people, residents of rural areas, and middle-income households with incomes just over the PTC eligibility “cliff” (about $64,000 for a single person). By Geraldine Doetzer https://healthlaw.org/the-fight-for-affordable-marketplace-coverage-continues/

The news from Minnesota is deeply troubling. A large federal immigration enforcement operation, Operation Metro Surge, h...
01/30/2026

The news from Minnesota is deeply troubling. A large federal immigration enforcement operation, Operation Metro Surge, has deployed thousands of agents across Minneapolis–Saint Paul, leading to the detention of children, including a 5-year-old with an active asylum claim, and heightened fear in schools and communities. Families and local leaders have spoken out about the impact on children and the trauma it’s causing. In addition to detentions, there have been multiple fatal shootings by federal agents that have sparked widespread protests and calls for accountability. Governor and city leaders have condemned the tactics as excessive and unconstitutional. NHeLP condemns racial profiling, violent enforcement actions, and policies that tear families apart. We stand with community advocates, organizers, and the helpers working for justice and due process for all. https://healthlaw.org/news/nhelp-denounces-ice-violence/

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